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�qi8�J �� ��. � <br /> APP . e+CIO ^I "_•.•� <br /> No, CITY OF EVERETT onoenE NO. <br /> APPLICATION FOR WATER SEa�LC��g �9r1 hp� <br /> � PIXlD DATE���__�p7� <br /> OD <br /> n DEPOSIT s �QO � ��Flllfi' DEPAHIMEii7 w.o. <br /> No.__--__ <br /> BERVICE I��vJ.�yo�o�ne� ���.� ��i/-��'� �"�M�___BL���pratr.fy�7l � <br /> R �//ryrLc�_. . l/• �� i <br /> OWNE _`_.fEt� _._____GONTRACTO ,t C__SQftf!_ yl <br /> �/, � <br /> IN9TALL�METERED SERVICE_____ . 7 y <br /> I HEREBY APPLI�FOR THE USE OF WA7ER IN �CCORD�NCE WiTll TNE I'J f / 7 � <br /> OROINANCES ANU PO�ICIES OF TME WA7ER DEPART'AENT h�7r eifCTING -{'� ����/ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e1cr�En: �LLSK.�, �i'={l/I�E�'�_-___ <br /> MAT[p1AL! 4i IN. 1 IN. � 3 IN. —, PqICF AMOUNT <br /> �'�PE COPPER--GALV.••STEEL I I <br /> --__.__-- —_- - L�_ —__ <br /> CORPORATION _ — —_ -- � --_f I — <br /> GURB COCK OT _ ____.— I --_ I — �-- <br /> SERVICE BO% ASTIC • C I I <br /> ��--- ---� --- �- <br /> METER VALVE � <br /> —__ _._____ —_— . ______._. . . _.. . _'__ _— —_._.—. —____ ._ <br /> METER No. ___._____�_ TVPE: I a ___ _ --- — <br /> METER BOX CONCRETE __ SMALL __LARGE _ _ � I_ <br /> —.___--__._. ___— _I__—I _— ___.— —._ _ <br /> --__— _ _— _� — — — <br /> _— _—� - - —'_ __ <br /> -- ' __— —_ <br /> . _—_— _.__ _.—._.—._____I'—' —I— <br /> —I_ <br /> '_—____—'._- --._ _ __--____ . I �_ —_ _ <br /> ON <br /> DATH IN3TALLED: C% , � i, ��, I � OFF SUB T07AL <br /> L� r-' , <br /> COO[ I ..:BOq ANO �[pUIPMENf RENT�L <br /> HJURs RATE <br /> -) --- ---- - - _-�.P�l G'----- - <br /> I � 1_ <br /> —� -- —/�—,.. �, ---�4-�1Jl-.�-P1�'— <br /> — -- <br /> - - - -- �- -�1-311_ __ �_�- -- <br /> _;_ �--.�-/- � - ------ . , , <br /> ---- ---- � <br /> _ _-- -----��.�-�-�' _------� <br /> , i - <br /> _----- -- ------- _----- - -------- ---� -- - <br /> TOTAL <br /> REMARKS; - �� � . � � <br /> -r 4-,c_i� , . r '�. - _. � i _. _ <br /> —_--__ ' ' ' � �' r . `• . ' . , <br /> _— _._—_. _—____ ._� ',�t��i I :',: .• ! � �i � � <br /> . __— '. "' '_'__.. _�....e ... .. . ___ .— <br />